SEC Form 4 · accession 0001140361-16-088923
BIOLASE, INC · BIOL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Dec 2, 2016
Accepted (ET)
Dec 6, 2016 · 6:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000811240
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 2, 2016 | C | 53,537 | $1.78 | A | 14,562,001 | I | See footnote |
| Common StockF2 | Dec 5, 2016 | C | 46,463 | $1.85 | A | 14,608,464 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1See Exhibit 99.1
- F2See Exhibit 99.1
Remarks
* On his own behalf or on behalf of the other joint filers. Exhibit List: Exhibit 99.1 - Explanation of Responses Exhibit 99.2 - Joint Filer Information and Signatures